incidence of forearm hematoma in the transradial interventions

Radial artery perforation is a rare complication, but can lead to severe forearm hematoma if not managed promptly. In their analysis, Calvino-Santos et al reported the incidence to be approximately 1%, and found it greatest among older and shorter women with tortuous arteries.

However, the incidence is likely lower than 1%. Although perforation can necessitate conversion to transfemoral access, several case series have demonstrated the safety of continuing the procedure either with the use of a long sheath, guiding catheter, or peripheral balloon to seal the perforation. Furthermore, none of these patients experienced long-term vascular complications.


Khaldoon Alaswad, MD, RVT, FACC, FSCAI
Director, Cardiac Catheterization Laboratory
Edith and Benson Ford Heart and Vascular Institute
Henry Ford Hospital
Henry Ford Health System
Detroit, MI


Can you tell us the incidence of forearm hematoma in the transradial interventions?